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Contact Information

VALARIE IKERD DPM LLC
1501 E 20TH ST
JOPLIN, MO64804-0928
 Phone: 417-659-9395
 Fax: 417-659-9695
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for VALARIE IKERD DPM LLC

NPI Number 1962652834
LBN Legal business name VALARIE IKERD DPM LLC
Authorized official VALARIE IKERD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/26/2008
Last updated 02/24/2015 - About 11 years ago
Identifiers
MO Medicaid 1962652834
MO Other 112612 BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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